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NPI Code Detail

MEDICARE: JACQUELINE S BUCHMAN D.P.M.

MEDICARE: JACQUELINE S BUCHMAN D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine PodiatristPO2187FL
2213ES0103XFoot & Ankle Surgery PodiatristPO 0002187FL

General Provider Information

NPI Number : 1184625592
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE S BUCHMAN D.P.M.
Provider Business Mailing Address
First Line : 1190 NW 95TH ST
Second Line : SUITE 102
City : MIAMI
State : FL
Zip : 33150-2063
Country : US
Telephone Number : 305-691-1787
Fax Number : 305-691-5337
Provider Business Practice Location Address
First Line : 1190 NW 95TH ST
Second Line : SUITE 102
City : MIAMI
State : FL
Zip : 33150-2063
Country : US
Telephone Number : 305-691-1787
Fax Number : 305-691-5337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/11/2025

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